Essential updates 2021/2022: Update in surgical strategy for perihilar cholangiocarcinoma.
biliary tract neoplasm
perihilar cholangiocarcinoma
preoperative treatment
treatment strategy
Journal
Annals of gastroenterological surgery
ISSN: 2475-0328
Titre abrégé: Ann Gastroenterol Surg
Pays: Japan
ID NLM: 101718062
Informations de publication
Date de publication:
Nov 2023
Nov 2023
Historique:
received:
01
02
2023
revised:
21
07
2023
accepted:
10
08
2023
medline:
6
11
2023
pubmed:
6
11
2023
entrez:
6
11
2023
Statut:
epublish
Résumé
Resection is the only potential curative treatment for perihilar cholangiocarcinoma (PHC); however, complete resection is often technically challenging due to the anatomical location. Various innovative approaches and procedures were invented to circumvent this limitation but the rates of postoperative morbidity (20%-78%) and mortality (2%-15%) are still high. In patients diagnosed with resectable PHC, deliberate and coordinated preoperative workup and optimization of the patient and future liver remnant are crucial. Biliary drainage is recommended to relieve obstructive jaundice and optimize the clinical condition before liver resection. Biliary drainage for PHC can be performed either by endoscopic biliary drainage or percutaneous transhepatic biliary drainage. To date there is no consensus about which method is preferred. The volumetric assessment of the future remnant liver volume and optimization mainly using portal vein embolization is the gold standard in the management of the risk to develop post hepatectomy liver failure. The improvement of systemic chemotherapy has contributed to prolong the survival not only in patients with unresectable PHC but also in patients undergoing curative surgery. In this article, we review the literature and discuss the current surgical treatment of PHC.
Identifiants
pubmed: 37927920
doi: 10.1002/ags3.12734
pii: AGS312734
pmc: PMC10623956
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
848-855Informations de copyright
© 2023 The Authors. Annals of Gastroenterological Surgery published by John Wiley & Sons Australia, Ltd on behalf of The Japanese Society of Gastroenterological Surgery.
Déclaration de conflit d'intérêts
Akio Saiura is a current editorial board member of the Annals of Gastroenterological Surgery. The other authors have no conflicts of interest to declare.
Références
Ann Surg. 2021 Feb 1;273(2):240-250
pubmed: 32097164
World J Gastroenterol. 2018 Mar 28;24(12):1332-1342
pubmed: 29599608
Surgery. 2016 Jul;160(1):118-126
pubmed: 27059635
Ann Surg Oncol. 2008 Aug;15(8):2104-12
pubmed: 18543039
Ann Gastroenterol Surg. 2022 Mar 23;6(5):616-622
pubmed: 36091305
Hepatogastroenterology. 1991 Apr;38(2):170-5
pubmed: 1649788
Br J Surg. 1991 Jun;78(6):727-31
pubmed: 2070244
Ann Surg Oncol. 2020 Dec;27(13):5209-5221
pubmed: 32495286
J Gastrointest Surg. 2023 Apr;27(4):730-740
pubmed: 36138311
HPB (Oxford). 2017 May;19(5):381-387
pubmed: 28279621
Surgery. 2016 Jun;159(6):1511-1519
pubmed: 26948498
HPB (Oxford). 2019 Mar;21(3):345-351
pubmed: 30087051
Ann Surg. 2007 May;245(5):755-62
pubmed: 17457168
Ann Surg. 2003 Jul;238(1):84-92
pubmed: 12832969
HPB (Oxford). 2015 Sep;17(9):763-9
pubmed: 26058463
J Hepatobiliary Pancreat Sci. 2023 Jan;30(1):60-71
pubmed: 35611453
HPB (Oxford). 2022 Mar;24(3):391-397
pubmed: 34330643
Ann Surg. 2021 Jul 1;274(1):31-32
pubmed: 33214439
Ann Surg. 2018 May;267(5):797-805
pubmed: 29064885
J Am Coll Surg. 2012 Jul;215(1):31-8; discussion 38-40
pubmed: 22621893
Surg Today. 2021 Nov;51(11):1795-1804
pubmed: 33835263
Ann Surg Oncol. 2022 Oct;29(11):6759-6771
pubmed: 35705775
Arch Surg. 2005 Nov;140(11):1100-3
pubmed: 16301448
Surgery. 1990 May;107(5):521-7
pubmed: 2333592
Ann Surg Oncol. 2017 Jun;24(6):1557-1568
pubmed: 28188502
Eur J Radiol. 2020 Apr;125:108897
pubmed: 32114333
Lancet Oncol. 2019 May;20(5):663-673
pubmed: 30922733
Ann Surg Oncol. 2023 Jun;30(6):3348-3359
pubmed: 36790733
Ann Surg. 2011 Nov;254(5):776-81; discussion 781-3
pubmed: 22042470
Expert Rev Gastroenterol Hepatol. 2021 May;15(5):537-545
pubmed: 33793366
World J Surg. 2019 Mar;43(3):894-901
pubmed: 30377720
J Am Coll Surg. 2015 Jul;221(1):130-9
pubmed: 25872685
World J Surg. 2011 Jun;35(6):1340-4
pubmed: 21452067
Br J Surg. 2010 Aug;97(8):1260-8
pubmed: 20602507
Ann Surg. 2022 Feb 1;275(2):382-390
pubmed: 32976284
Surgery. 2000 Feb;127(2):155-60
pubmed: 10686980
Int J Surg. 2020 Oct;82S:97-102
pubmed: 32645441
J Hepatol. 2022 Dec;77(6):1690-1698
pubmed: 35977611
Ann Surg. 2008 Jan;247(1):49-57
pubmed: 18156923
Ann Surg Oncol. 2022 Nov;29(12):7592-7602
pubmed: 35752725
World J Surg. 2016 Jun;40(6):1440-7
pubmed: 26902630
Ann Surg Oncol. 2016 Aug;23(Suppl 4):475-484
pubmed: 27387681
BMC Cancer. 2020 Jun 19;20(1):574
pubmed: 32560632
Br J Surg. 2010 Sep;97(9):1363-8
pubmed: 20632323
Ann Surg Oncol. 2015;22(6):1915-24
pubmed: 25404474
Ann Gastroenterol Surg. 2017 Nov 23;2(1):37-54
pubmed: 29863148
J Gastrointest Surg. 2023 Apr;27(4):741-749
pubmed: 36749556
Surgery. 2007 May;141(5):581-8
pubmed: 17462457
Lancet. 2023 Jan 21;401(10372):195-203
pubmed: 36681415
J Hepatobiliary Pancreat Sci. 2014 Aug;21(8):533-40
pubmed: 24464984
J Hepatobiliary Pancreat Sci. 2014 Aug;21(8):542-9
pubmed: 24520045
Ann Gastroenterol Surg. 2020 May 15;4(4):455-463
pubmed: 32724890
Ann Surg. 2012 Mar;255(3):405-14
pubmed: 22330038
Eur J Surg Oncol. 2023 Jan;49(1):150-155
pubmed: 36089453
Ann Surg. 1999 Dec;230(6):808-18; discussion 819
pubmed: 10615936
Ann Surg. 2021 Nov 1;274(5):780-788
pubmed: 34334638
Surgery. 2016 Mar;159(3):842-51
pubmed: 26683498
Ann Surg. 2018 Feb;267(2):e18-e20
pubmed: 28857819
J Hepatobiliary Pancreat Sci. 2010 Jul;17(4):449-54
pubmed: 19806294
Ann Surg Oncol. 2018 May;25(5):1140-1149
pubmed: 29470820
Liver Cancer. 2019 Nov;8(6):447-456
pubmed: 31799202
World J Surg. 2014 Jun;38(6):1510-9
pubmed: 24748319
Surgery. 2010 Jan;147(1):49-56
pubmed: 19767048
Ann Surg. 2020 Aug;272(2):199-205
pubmed: 32675481
Ann Surg Oncol. 2022 Apr;29(4):2393-2405
pubmed: 34994885
Surgery. 1995 Jun;117(6):677-81
pubmed: 7778031
J Hepatobiliary Pancreat Sci. 2017 Aug;24(8):456-465
pubmed: 28547855
Br J Surg. 1994 Jan;81(1):108-10
pubmed: 7906181
J Gastroenterol. 2011 Feb;46(2):242-8
pubmed: 20700608
HPB (Oxford). 2013 Jul;15(7):492-503
pubmed: 23750491
Hepatobiliary Surg Nutr. 2019 Aug;8(4):329-337
pubmed: 31489302
Dig Dis Sci. 2014 May;59(5):1048-54
pubmed: 23504331
Hepatobiliary Surg Nutr. 2021 Apr;10(2):154-162
pubmed: 33898556
Am J Med. 1965 Feb;38:241-56
pubmed: 14256720
J Hepatobiliary Pancreat Sci. 2015 Apr;22(4):249-73
pubmed: 25787274
Medicine (Baltimore). 2017 Feb;96(6):e5446
pubmed: 28178122
J Hepatobiliary Pancreat Sci. 2021 Oct;28(10):864-873
pubmed: 33993640
Surgery. 2008 Nov;144(5):744-51
pubmed: 19081016
Ann Gastroenterol Surg. 2018 Jul 26;2(5):359-366
pubmed: 30238077
Ann Surg. 2022 Jul 1;276(1):146-152
pubmed: 32889874
Ann Surg. 2021 Jul 1;274(1):1-3
pubmed: 33630445
Dig Surg. 2012;29(1):23-9
pubmed: 22441616
Surgery. 2020 Jun;167(6):917-923
pubmed: 32014304
Surgery. 2017 Sep;162(3):500-514
pubmed: 28551378
Langenbecks Arch Surg. 2016 Jun;401(4):503-11
pubmed: 27074727
J Hepatobiliary Pancreat Sci. 2019 Nov;26(11):490-502
pubmed: 31520452
Ann Surg Oncol. 2021 Nov;28(12):7719-7729
pubmed: 33956275
Jpn J Clin Oncol. 2018 Apr 1;48(4):392-395
pubmed: 29462482